Sample Record

DIME Sample ID 2023-05-04-5

Project Information

Project IdentifiersProject ID: 214135
DEA: 09213404
EFIS: 0900000030
DIST-CO-RTE-PM09-INY-395-29.9/41.8
Award Date10/22/2021
Closeout Date05/29/2026
Work DescriptionROADWAY EXCAVATION, PLACE HMA (TYPE A), AND ALTERNATIVE PIPE CULVERT.
Location DescriptionINYO COUNTY NEAR OLANCHA AND CARTAGO FROM 1.4 MILES SOUTH OF LOS ANGELES AQUEDUCT BRIDGE TO 0.2 MILE SOUTH OF ASH CREEK BRIDGE
QA Service Level1 (Verified on 05/03/2019)

Owner Lab

  • CT D09 - Bishop Field Laboratory

Sample Information

Sample Taken Date05/04/2023 Sample Unique Key5
Date that the sample was received by the laboratory/organization performing the testing05/04/2023 Sample typeQuality Assurance
A brief description of the sampleMix OV-12P The quantity of what the sample constitutes5 concrete Cylinders
From where was the sample collectedManufacturer First name of sampler or witnessed byJerid
Last name of sampler or witnessed byKupelian Title of sampler
Telephone number of sampler Laboratory sample identification
Linked DIME Sample ID The fabricator/manufacturer/facility name711 materials
Transportation Laboratory (TL) Number Inspector Lot Number from the Transportation Laboratory (TL) Form
Structure unique identifier Structure name
Bid ItemNot set

Material Information

Material TypeConcrete The concrete mix design numberOV-12P
The truck number from where the sample was collectedLoad 3 Truck 26 The batch plant ticket number from where the sample was collected830481
Concrete batch plant The fabricator/manufacturer designation for the sample
A detailed description of where the material sample was collectedEmergency work on Drainage Sytems on existing HWY 395 Where the material sample would have been placed if not sampled
From Lot No. Bag Lot No.

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedDate AddedVerified?Release DateTest CommentsPrivacy LevelActions
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Sample File Attachments

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Test File Attachments